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T.-MobilF - n,")9 Contract / Values
APR ""r
SunriseA�33323�Suite z00 ST. Lucie county, perfnitting
Site Name:
A2P0105A
site Address:
5041 St. Lucie Blvd
Contractor.
can tact• .
Phone Number:
Contractor Contact Name:
Acceptance of Scope of Work
Otmer. TMO Contact Name:
Aae trance of Scope of Woric Replace/Repair T-Mobile equipment at e)dsft cell tower facility.
Hid Due Date &Time: Notes: Add Generator
Quote
Materials
Labor
$0.00
Total
$0.00
Tower/RoofWorkTotal
$0.00
Miscellaneous
Ground Work
A. Site Work- Demolition, Clearing, Excavation.
$0.00
B. Access Road
$0.00
C. Building Modifications
$0.00
D. Grounding & Test
$1 000.00
$2 500.00
$3 500.00
E. Power and Telco. conduit and conductor installation
$2,500.00
$4,000.00
$6,500.00
F. Concrete Pad - Forms Rebar, Concrete
$0.00
G. Steel Platforms, Structural Steel, and Foundations
$0.00
H. Gas Line & Test
$0.00
I. Fabric and Gravel
$0.00
J. Fence and Gates
$0.00
K. Landscaping, Including Irrigation If needed
$0.00
L. Equipment Installation
$17 000.00
$17 000.00
M. Mounts & Antenna Installation
$5 500.00
$5 500.00
N. Permits & Inspections
$900.00
$900.00
O. Generator
$0.00
t'
U. Power conduit AWiring
$2 500.00
$1 500.00
$4 000.00
V. Coax/Fiber Cables includes installation of wa uide
$1.500.00
$1,500.00
$0.00
Miscellaneous
$0.00
1. Pick-up and delivery
$1 800.00
$1 800.00
2. Fuel
$0.00
3. Crane
$2 500.00
$2 500.00
$0.00
$0.00
$0.00
$0.00
Verification of Total
$6,000.00
$37,200.00
$43,200.00
Completion Schedule calendar days):
17
X Signaturs of OUalxier x Signature of Property Owner or Agent
STATE OF STATE OF
COUNTY OF COUNTY OF
Sworn to (or affirmed) and subscribed before me this day of to affirmed) and subscribed before me this day of
. 20 by 20_7_L_ by
3o se A,.)Iro f. eo D�.1 oyo►dc�
(Type / Print Qualifiers Name) Crype I Print Property Owner or Agent Name)
NOTARY'S SIGNATURE as to Qualifiers Signature NOTARY'S SIONA RH as to Qw^�( or Aganra Signature
Notary Name Notary Name nfA� \�V��C
(Prat, Type or Stamp Notary's Nams) (PrUft, or Stamp Notery'e Name)
Personally Known _ or Produced Identification Personally Known or Produced Identification
Type of Identification Produced Type of Identification Produced
RNotary Public State of Fbride
Mget RiveraMy Commission GG 121794
EVires 10/24/2021